| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $776.25 | $1,023.29 | $1,230.27 | |
CareFirst
| Professional | $933.25 | $1,047.13 | $1,174.90 | |
Cigna
| Professional | $588.84 | $588.84 | $588.84 | |
Kaiser Permanente
| Professional | $1,318.26 | $1,513.56 | $1,949.84 | |
United
| Facility | $467.74 | $549.54 | $1,000.00 | |
United
| Professional | $467.74 | $501.19 | $1,000.00 | |
Wellpoint
| Professional | $645.65 | $891.25 | $891.25 |